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Application

PLEASE PRINT AND FILL OUT APPLICATION BELOW AND SEND IT TO OUR SECRETARY/TREASURER, RON THOMAS AT 4707 RAMBO ROAD, BRIDGMAN MI 49106.

To open the Membership Application form into Word, click here.


 

HUMAN RESOURCE COUNCIL OF SOUTHWESTERN MICHIGAN

An affiliated chapter of the Society for Human Resource Management

MEMBERSHIP APPLICATION

(Please print or type all information)

 

NAME:_____________________________________________________________________________________________                        Last                                                                                        First                                                MI

 

ORGANIZATION or EMPLOYER:__________________________________________________

 

JOB TITLE:__________________________________  PHONE # (    )_____________________

 

ADDRESS:____________________________________________________________________

                        Street#/PO Box                         City                              State                Zip

 

EMAIL:___________________________________  FAX # (    )__________________________

 

Are you currently an active member of SHRM?  Yes_____      No_____

 

SHRM member number: _______________________

 

Why do you want to become a member of the HRC of Southwestern Michigan?__________

 

 

How do you categorize yourself in your current position? 

[   ] HR Practitioner  [   ] Educator  [   ] Researcher  [   ] Consultant  [   ] Other (if Other, please explain)________________________________________________________________

 

(You may choose to attach a resume for the following information)

 

Past Human Resource Management/Administration Experience

 

            Position                                   Length of Service                    Company/Employer

 

___________________________      ____________________     _________________________

 

___________________________      ____________________     _________________________

 

___________________________      ____________________     _________________________

 

Professional Affiliations/Memberships

 

            Organization                              Position Held                           Length of Membership

 

___________________________      ____________________     _________________________

 

___________________________      ____________________     _________________________

 

As a member of the HRC, I will uphold its purpose and Code of Ethics:

 

_______________________________________     _________________________

                                    Signature                                                          Date

 

Accepted by:_______________________________________     ________________________

                                    HRC President Signature                                    Date